Olivia Pinsley, PH.D,,LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R-041584-1 Issued in NY

Practice address

445 Northern Blvd
Suite 12
Great Neck, NY 11021-4804

Phone

(516) 642-1174

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Senior Living Behavioral Health LCSW PLLC

  • Clinical Social Worker
  • New York, NY
  • NPI 1083150056
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881728863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BROMPTON RD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213441",
            "telephone_number": "516-467-4267",
            "fax_number": "516-467-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 NORTHERN BLVD",
            "address_2": "SUITE 12",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214804",
            "telephone_number": "516-642-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINSLEY",
        "first_name": "OLIVIA",
        "credential": "PH.D,,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R-041584-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYEE IDENTFICATION NO",
            "identifier": "56-2511110",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pinegrove Manor II, LLC (Grace Plaza Nursing and Rehabilitation Center)
• Ping Zhang Acupuncture PLLC
• Valerie Lynne Pinhas, PH.D
• Natela Pinkhasova, M.S. SLP-CCC
• Elizabeth L Pinsky, LCSW
• Kristine Myra Lalas Pitt, MD
• Nicholas Anthony Pizzarelli
• Jordan Placella, DPT
• Michael Alan Pliskin, D.P.M.
• Barbara Podwall, MD

• Clinical Social Worker in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.